NPI | 1780946756 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2084E0001X Psychiatry & Neurology, Epilepsy (Licence: MN 56543) |
Additional Taxonomies | 208000000X Pediatrics (Licence: MN 56543) |
2084N0400X Psychiatry & Neurology, Neurology (Licence: MN 56543) | |
Enumeration Date | 2012-06-14 |
Last Update Date | 2024-07-17 |